Tetric EvoCeram® Bulk Fill: A new level of efficiency

N e w s f r o m t h e d e n t a l w o r l d b y I v o c l a r Vi v a d e n t
update
03|2011
Tetric EvoCeram
Bulk Fill: A new level
of efficiency
®
In this issue:
Tetric EvoCeram® Bulk Fill
A new level of efficiency
Power Saving Technology
Saving energy made easy
Proxyt® Next Generation
Even more effective and gentle
A new level of efficiency in posterior tooth restoration: The time-tested
Tetric EvoCeram® composite has been further developed on the basis of this premise.
COMPETENCE IN COMPOSITES
Tetric EvoCeram® Bulk Fill is a mouldable, light-curing and radiopaque nano-hybrid composite which enables increments of up to 4 mm to
be placed. A final composite layer is not required. With only three universal shades that demonstrate excellent shade adaptation – IVA (between A2 and A3), IVB (between B1 and B2), IVW (white, e.g. for deciduous teeth) – shade selection is made easy. This innovative product
is the result of the targeted further development of Tetric EvoCeram.
Further development of a time-tested material
Tetric EvoCeram Bulk Fill incorporates a light sensitivity inhibitor which acts as a shield against ambient light (e.g. operatory light). Consequently, sufficient time is available to sculpt and contour the restoration. Moreover, a patented polymerization booster has been added to
the standard initiator system which allows 4-mm thick material increments to be completely cured in short polymerization cycles. As a result
of the special, patented layered silicates contained in the material, Tetric EvoCeram Bulk Fill has a smooth consistency. Consequently, it is
easy to sculpt and contour and it readily adapts to cavity walls. In addition, a shrinkage stress reliever keeps shrinkage and shrinkage stress
as low as possible during polymerization.
The filler technology of the clinically proven Tetric EvoCeram has also been used in Tetric
EvoCeram Bulk Fill. As a result, the material polishes quickly and easily and demonstrates
high stability. Unlike flowable bulk fill materials, Tetric EvoCeram Bulk Fill does
not have to be covered with an additional layer of different composite.
If desired, it can of course be used in conjunction with Tetric EvoFlow.
Tetric EvoCeram Bulk Fill – the bulk composite without
compromises which ensures a new level of efficiency
in posterior tooth restoration.
One filling:
Teeth are filled and contoured
without requiring a final layer.
One material: The composite’s smooth consistency
enhances adaptation.
One increment: The 4-mm bulk increment technique
streamlines filling procedures.
Two delivery forms, a strong result: Tetric EvoCeram Bulk Fill.
Editorial
Helioseal F
®
New syringe design provides
additional benefits
The delivery form of Helioseal F fissure
sealant has been optimized. The new design enables the sealant to be dispensed
and applied more easily.
Dear Reader
You rely on clinically proven products.
They enable you to achieve successful
and predictable results every time and
all the time and they help you to
streamline the routine procedures in
your dental laboratory or practice and
therefore heighten your productivity.
In this edition of Update, we will introduce you to additional innovations
which are based on these principles.
For example, Tetric EvoCeram is now
also available in a Bulk Fill version. This
new resin composite can be placed in
increments of up to 4-mm thickness –
without needing an additional covering
layer made with another material.
The success story of IPS e.max esthetics continues to unfold: As a result of
the growing demand for our all-ceramics, our “Authorized Milling Partner”
program now includes nine centres.
®
You, too, can take action by choosing
to use energy-saving, environmentally
friendly equipment, for example, our
Programat® ceramic and press
furnaces.
The ergonomically shaped syringe of the clinically proven fissure sealant Helioseal F is very comfortable to hold. Furthermore, it allows the sealant to be dispensed and applied even more accurately in pits, fissures and foramina caeca.
Fissures in general are susceptible to caries. Because of their intricate structure, however, they
are difficult to clean and therefore provide bacterial plaque with ideal growing conditions.
Sealing with Helioseal F protects these at-risk areas.
Helioseal F is based on many years of clinical experience. The sealant’s effectiveness in protecting
deciduous and permanent teeth against caries has been clearly confirmed. The product readily
flows into fissures and completely covers and seals them. The sealant bonds tightly with enamel
and therefore ensures long-lasting retention and impenetrable sealing of pits and fissures. Excellent wear resistance additionally characterizes the sealant. Helioseal F is a component of the iKids program, which offers professional solutions for customized oral health management in
children and adolescents. The i-Kids program comprises all the products needed for effective
fissure sealing.
Read more about these and other topics in this edition of Update or contact
us at your convenience.
OptraGate® Junior
or
OptraDam® Plus
bluephase® G2
Proxyt®
Email Preparator
Helioseal® F
Yours sincerely
Helioseal F is a constituent of a comprehensive oral health management program.
Christian Brutzer
Sales Director Asia-Pacific
Ivoclar Vivadent AG
OptraPol®
Next Generation
Fluor
Protector
COMPETENCE IN ALL-CERAMICS
Authorized Milling Partners
AUTHORIZED
MILLING PARTNER
of
Proven quality for clinical success
Ivoclar Vivadent has widened its network of affiliated milling centres. From these centres you will
receive your restoration made of Ivoclar Vivadent materials featuring the high quality and esthetics to which you are accustomed.
As CAD/CAM systems are becoming more
popular, dental lab technicians and dentists
are able to choose from a wide variety of
milling centres. As a result, customers have
considerably more flexibility, but they also
spend more time in choosing a suitable milling centre. Ideally, the digital process chains
should be highly refined and coordinated
with the properties of the specific materials.
As a result, a decision was taken at IDS 2011
to expand our “Authorized Milling Partner
Program”.
The program gives authorized milling partners access to the materials and processing
For a list of the current Authorized Milling Partners, please go to:
www.ivoclarvivadent.com/company
technology of Ivoclar Vivadent. This expertise
is related to our all-ceramic materials, for example, the patented lithium disilicate glassceramic IPS e.max® CAD and our
high-performance composites of the Telio®
CAD brand, which are used in the fabrication
of long-term temporaries.
As a developer and manufacturer of quality
restorative materials, Ivoclar Vivadent has a
profound knowledge of the specific materials’ properties and the related processing
technology. Dental lab technicians and dentists who place their confidence in the milling
centres from the list of “Authorized Milling
Partners” of Ivoclar Vivadent will enjoy the
following benefits:
•High-precision restorations with excellent surface quality due to industrial manufac-
turing
• High quality standards: Materials and
restorations are scientifically tested
• Milling strategies focussing on specific
materials and indications
• Coordinated products and systems are used in the fabrication process
The current milling partners of Ivoclar
Vivadent produce top-quality, highly esthetic
results using Ivoclar Vivadent materials.
Power Saving Technology:
Saving energy made easy
Efficient use of energy and responsible use of valuable resources – this is the basic principle behind the Power Saving Technology
concept. This technology renders Programat® furnaces even more efficient and economical.
Cars, TVs, fridges and other appliances are becoming increasingly efficient and economical. This trend has not gone unnoticed at Ivoclar
Vivadent. Therefore, Ivoclar Vivadent has been issuing the Power Saving Technology label to those appliances which meet at least one of
the following criteria:
• The appliance consumes less power than the comparable predecessor model.
• The appliance is equipped with innovative mechanisms or functions which help to reduce power consumption.
• The appliance has an integrated energy saving mode or a key to activate this mode.
For you, Power Saving Technology means
(depending on the model you use):
• Power consumption reduced by 40% in the stand-by mode due to software-controlled energy saving function.
• Saving energy at the push of a button: Simply tap the “Power Saving” key and the furnace switches to the power saving mode.
• Innovative vacuum control reduces power consumption by up to 80 watt.
• The double-valve technology allows the vacuum pump to be immediately switched off when the desired vacuum has been achieved.
• Intelligent Press Function (IPF) saves up to 45% of time required for pressing. A shorter press cycle equals lower energy
consumption.
• Innovative sintering process saves up to 60% on energy use. The Programat S1 reduces the time required for sintering
from between 5 and 7 hours to just 90 minutes. Compared with the predecessor Sintramat, up to 2,450 watt can be saved in
each sintering cycle.
The following Programat® furnaces are already equipped with Power Saving Technology:
P300/G2, P500/G2, P700/G2, EP 3000/G2, EP 5000/G2, S1.
Navigating the realm of cementation
Coming soon: Cementation Navigation System in the iTunes App Store
CNS
In March 2011, the Cementation Navigation System (CNS) was presented for the first time at the International Dental Show. This multimedia application from Ivoclar Vivadent offers dentists practical orientation and guidance in the selection of the best luting material
for each case. In the meantime, it has become very popular. The more than 25,000 DVDs that have been distributed and over 300,000
visits to the website are testimony to the considerable interest shown by users. Recently, the initial version has been complemented with
a “Cementation on implant abutments” section. Thus CNS is a valuable planning aid for all types of cementation scenarios. All the
cementation procedures that can be conducted with Ivoclar Vivadent luting materials are explained in detail by means of 230 animations.
Those who wish to gain an overview of the cementation options while on the road or during short breaks will be able to download
CNS from the iTunes App Store shortly.
www.cementation-navigation.com
Multilink Automix convinces users
®
Top marks for adhesive luting composite
How satisfied are you with Multilink® Automix? A customer survey conducted recently by Ivoclar Vivadent’s internal market
research department focussed on this particular question. More than 700 dentists
from Germany, Italy, France and the US participated in the survey. The results were
quite convincing: More than 80% of the interviewees said they were “satisfied” to
“very satisfied” with Multilink Automix.
The most important reasons stated for using
the product were:
-
-
-
the material’s chemical curing mechanism with the light-curing option,
its excellent bond strength values and
its suitability for both metal and ceramic restorations.
The users were particularly satisfied with the
material’s bond strength, ease of use, consistency and delivery form. Overall, 83% of
the respondents consider the reputation of
Ivoclar Vivadent in the field of luting materials to be “good” to “excellent”.
(Source: Ivoclar Vivadent Customer Satisfaction Analysis,
April 2011)
The IPS e.max system:
®
ic
eram
all c u need
o
all y
A story of clinical success
From its development until today, the IPS
e.max system has been and continues to be
constantly accompanied by scientific investigations and studies. Numerous experts
have contributed their expertise to the system’s excellent scientific foundation.
metal-ceramic restorations as well as many • Martins et al.:
other all-ceramic materials that have been The results found for IPS e.max CAD crowns
in fatigue testing were comparable to those
tested by the Dental Advisor over the past
for the “gold standard” metal-ceramic.3
26 years.1
• Gehrt et al.:
Dental Advisor: Evaluation of relevant
Crowns made of lithium disilicate (LS2) glassclinical parameters in restorations made of
ceramic showed an adequate clinical perIPS e.max Press after four years.
formance, both when they were adhesively
5
and conventionally cemented. After a period
4
of eight years, a Kaplan-Meier survival rate
of 92.3% was determined.4
3
• Fasbinder et al.:
2
Sixty-two crowns (pre-molars and molars)
1
were fabricated at the chairside using a
CEREC® 3D system (Sirona). After an obser0
Esthetics
Resistance to Resistance to Sensitivity
Decementavation period of up to three years, no failfracturing/ discolouration
tion
chipping
ures caused by fracturing or chipping were
recorded. All of the crowns that were ce5: excellent; 4: very good; 3: good; 2: sufficient; 1: insufficient
mented with Multilink Automix were found
to be clinically acceptable.5
• Guess et al.:
Fully anatomical IPS e.max CAD crowns
were shown to be resistant against fatigue
in cyclic load testing. In comparison, zirconium oxide crowns developed fractures in
the veneering material at much lower
forces.2
IPS e.max CAD crown at the 3-year recall 1
A total of 20 clinical in-vivo studies and still
more in-vitro studies carried out all over the
world on the IPS e.max system show: With
this system Ivoclar Vivadent does not only
support dentists and dental technicians, but
the company supplies the best possible material combination for all restorations, and this,
eventually, benefits the patients. A few excerpts from the continuously growing number of clinical studies bear testimony to the
long-term success in the mouth of patients.
• Dental Advisor:
The Dental Advisor confirmed on the
basis of 236 restorations that IPS e.max
Press is a highly esthetic material featuring high strength and an excellent clinical
performance over an observation period
of four years. The resistance to fracture
and chipping is superior to conventional
5
The Dental Advisor. IPS e.max 4-year Clinical Performance. June 2010;27(5)
Guess, P. C. Z., R.A. Silva, N.R.F.A. Bonfante, E.A. Coelho, P.G. Thompson, V.P. (2010). Monolithic CAD/CAM Lithium Disilicate Versus Veneered Y-TZP Crowns:
Comparison of Failure Modes and Reliability After Fatigue. Int J Prosthodont 23: 151-159
3
Martins, L. D. M. C., P.G. Valverde, G.B. Bonfante, E.A. Bonfante, G. Rekow, E.D. Thomspon, V.P. Silva N.R.F.A. (2011)
Reliability: reduced-thickness and thinly-veneered lithium-disilicate vs. MCR and Y-TZP crowns. IADR Abstract 149736, San Diego, CA.
4
Gehrt, Rafai et al. 2010 Outcome of Lithium-Disilicate Crowns after 8 Years. IADR Abstract #656, Barcelona
5
Fasbinder, D. J., J. B. Dennison, et al. (2010). A clinical evaluation of chairside lithium disilicate CAD/CAM crowns: a two-year report. Journal of the American
Dental Association 141 Suppl 2(June): 10S-4S
1
2
In pursuit of nature
IPS e.max CAD blocks with an added impulse
®
The IPS e.max® CAD lithium disilicate (LS2) blocks are now available in five additional Impulse shades:
three Value (Value 1, Value 2 and Value 3) and two Opal shades (Opal 1 and Opal 2).
These blocks are mainly used to fabricate
(thin) veneers as well as partial and single
crowns. The suitable block can be selected
depending on the preferred fabrication
technique (staining or cut-back technique)
and the individual patient situation at hand.
Value blocks: various brightness values
The Value blocks feature different brightness values: 1 is the lowest and 3 the highest. This allows optimum integration of the
restoration into the intraoral situation.
Shade of
the preparation
Desired tooth shade: Bleach and A–D shade guide
BL3
BL4
ND 1
ND 2
ND 3
Value 2
Value 3
Value 3
A1
B1
Value 1
Value 1
Value 1
Value 1
Value 2
Value 1
Opal blocks: lifelike opalescent effect
The Opal blocks exhibit a decreasing opalescence and increasing brightness value from
1 to 2. Due to their unique opalescence and
strength, the Opal blocks can be used as an
“enamel replacement”.
As a result of the opalescence inherent to
the material, highly esthetic and minimally
invasive restorations – thin veneers in particular – can be fabricated.
The appropriate Opal blocks are selected on the basis of the
shade of the enamel of the natural tooth.
The new IPS e.max CAD Impulse blocks: three Value and two Opal shades.
Thin veneers made of IPS e.max CAD Impluse Opal material
COMPETENCE IN IMPLANT ESTHETICS
Proxyt Next Generation
®
The new Proxyt® pastes clean even more gently and effectively thanks to their optimized consistency.
They offer ideal care for high-quality restorations.
The new Proxyt pastes are suitable for the needs-oriented, professional cleaning and polishing of teeth, restorations and implant
work. Due to their optimized consistency, Proxyt pastes enable even more effective cleaning and polishing. Unnecessary abrasion of
tooth structure and roughening of restoration surfaces is prevented.
Three different grit sizes (RDA) are available.
The fine-, medium- and coarse-grit Proxyt pastes contain fluoride.
Additionally, a fluoride-free version of the medium-grit paste is available
which does not have any flavouring. All the different paste versions
contain xylitol, which inhibits the growth of bacteria that cause caries.
The fine Proxyt paste does not contain pumice und thus cleans implants
and the sensitive peri-implant tissue particularly gently. Regular care
with this fine prophy paste ensures that restorations and ceramic
reconstructions retain their natural-looking shine.
Finding alloys
the easy way
Considering the overwhelming range of available products, finding the optimum alloy for a given case is not always easy.
The new Alloy Configurator is a practical tool to help you accomplish this task.
The Alloy Configurator is a web-based application that combines a variety of functions.
With this tool, you can search for alloys according to different criteria, for instance, an
indication, composition and specific metals as
well as colour. In accordance with these criteria, the results will be displayed including detailed alloy reports.
For frameworks with good stability
Colado NC is a nickel-chromium ceramic alloy
which is especially economical due to its composition. The alloy is very easy to process and
is characterized by its very light oxide. This fa-
cilitates the creation of an appropriate shade
effect in veneers. Given Colado NC’s high
strength values, dental technicians can fabricate delicate frameworks with a suitable
stability.
Alloy Configurator
As a unique, innovative feature, the Alloy
Configurator is equipped with an “actual cost
calculator”. With this function, alloys can be
compared with each other not only on the
basis of the retail price but also with regard
to their density, which is an important factor
influencing the amount of material needed
and thus also the costs. To determine the actual costs of an alloy, this aspect must also be
taken into account.
The Alloy Configurator also includes the two
latest additions to Ivoclar Vivadent’s alloy
range: Callisto® Implant 33 and Colado® NC,
which have been specifically developed with
the economic efficiency of dental labs in
mind.
For implant superstructures
Callisto Implant 33 is a cost-effective, lowdensity reduced-gold alloy. Given its composition and physical properties, this
palladium-containing ceramic alloy is suitable for all types of long-span restorations,
and particularly for implant superstructures.
The Alloy Configurator is available at: http://alloycfg.ivoclarvivadent.com
Distinguished by innovation
Healthy teeth produce a radiant smile. We strive to achieve this goal on a daily basis. It inspires
us to search for innovative, economic and esthetic solutions for direct filling procedures and the
fabrication of indirect, fixed or removable restorations, so that you have quality products at your
disposal to help people regain a beautiful smile.
Publisher: Ivoclar Vivadent AG
Contact us
Editorial team: Michèle Schwenninger, Robert Grünenfelder,
Martina Jakob, Philipp John, Andrea Längle,
Tobias Specht, Thomas Ruhm,
Anna-Lena Dermon (final editing)
Layout: Johannes Biedermann
www.ivoclarvivadent.com
616651/0911/eAsia/RDV
Australia: +61-3-9795-9599
• other: +423-235 36 36